| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.71 | $156.44 | $210.82 | |
Aetna
| Professional | $54.71 | $54.71 | $54.71 | |
CareFirst
| Professional | $54.71 | $86.36 | $146.03 | |
Cigna
| Facility | $51.61 | $51.61 | $54.71 | |
Kaiser Permanente
| Professional | $46.50 | $46.50 | $54.71 | |
United
| Professional | $49.79 | $54.71 | $88.67 |